Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Bastow, DPM

Individual provider Foot Surgery Podiatrist · NPI 1881621423

Dr. Jack Bastow, DPM is a Foot Surgery Podiatrist in Albany, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4 Palisades Dr Ste 250A
Albany, NY 12205-1443
Phone: (518) 458-1771
Fax: (518) 459-7682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence 003886 (NY)

Record details

NPI number1881621423
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 27, 2006
Last updated in NPPESJanuary 22, 2009
Mailing address4 Palisades Dr, Suite 250a, Albany, NY 12205-1443

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